LASHAWN NICHOLS


Address: 1835 Ximeno Ave, Long Beach, CA 90815-2850
Phone: 3108209933

LASHAWN NICHOLS (NPI# 1346610458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346610458
Entity Type Individual
Full Name LASHAWN NICHOLS
Credential RDA
Practice Address 1835 Ximeno Ave
Long Beach
CA 90815-2850
Mailing Address 634 Cedar Ave Apt 7
Long Beach
CA 90802-1231
Practice Telephone 3108209933
Practice Fax Number 3108200588
Mailing Telephone 5622004771
Enumeration Date 2015-10-01
Last Update Date 2020-02-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 126800000X Dental Assistant Dental Providers
Y 126800000X Dental Assistant 63869 CA Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA DENTICAL 1346610458 01

Office Location

Street Address 1835 XIMENO AVE
City LONG BEACH
State CA
Zip Code 90815-2850

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205865375 Armon Shokohi Dentist 1835 Ximeno Ave, Long Beach, CA 90815-2850 2006-07-01
1376150227 Karem Gutierrez Dental Hygienist 1835 Ximeno Ave, Long Beach, CA 90815-2850 2020-09-24
1932741394 Darlina Vu Dental Hygienist 1835 Ximeno Ave, Long Beach, CA 90815-2850 2019-10-16
1306492053 Miriam Carrillo Dental Assistant 1835 Ximeno Ave, Long Beach, CA 90815-2850 2019-08-16
1831688050 Anna Marie Mendoza Dental Assistant 1835 Ximeno Ave, Long Beach, CA 90815-2850 2018-05-02
1215439468 Alicia Huizar Quidera Dental Assistant 1835 Ximeno Ave, Long Beach, CA 90815-2850 2018-03-04
1720506660 Carol Sue Kline Dental Hygienist 1835 Ximeno Ave, Long Beach, CA 90815-2850 2017-08-30
1144675935 Eileen Sarto Dental Assistant 1835 Ximeno Ave, Long Beach, CA 90815-2850 2016-04-28
1588028419 Nooshin Gharamsini Dental Assistant 1835 Ximeno Ave, Long Beach, CA 90815-2850 2016-04-06
1568807642 Sonia Marie Ruiz Dental Assistant 1835 Ximeno Ave, Long Beach, CA 90815-2850 2013-05-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316596745 Fatima A. Hernandez Technician 2846 N Greenbrier Road, Long Beach, CA 90815 2019-09-09
1376027938 Abigail Joy Dominguez Social Worker 2725 Hackett Ave, Long Beach, CA 90815 2018-09-19
1790271716 The North Star Center for Marriage and Family Therapy, Inc. Counselor Faith Recovery, 2211 Suite C Palo Verde Ave, Long Beach, CA 90815 2018-07-02
1639600844 Melissa Suzanne Fitzgerald Nurse Practitioner 6510 E. Spring Street, Spring Family Medical Group, Long Beach, CA 90815 2017-03-21
1588102818 Jeff Clement Registered Nurse 1824 Stearnlee Avenue, Long Beach, CA 90815 2017-02-07
1376923524 Edward Carl Woerz Surgery 5640 E. Las Lomas St., L.b., CA 90815 2015-06-03
1558765107 Kendall Cheney Perez Social Worker 4142 E Mendez St Unit 433, Long Beach, CA 90815 2014-10-10
1689087769 Nellie Grace Bell, Ma, Inc. Marriage & Family Therapist 6200 E. Spring St., Suite G, Long Beach, CA 90815 2014-06-06
1245652270 Nguyen and Ghazal Dental Corporation Dentist 5533-a East Stearns Street, Long Beach, CA 90815 2014-01-10
1306267182 Marcia Freeman Licensed Practical Nurse 2250 Grand Ave, Long Beach, CA 90815 2013-12-23
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Taxonomy Information

Taxonomy Code 126800000X
Grouping Dental Providers
Classification Dental Assistant

Taxonomy Definition

An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary.
Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063942530 Regina Alvarez Dental Assistant 3320 N Los Coyotes Diagonal Ste 200, Long Beach, CA 90808-3938 2017-06-15
1497204028 Jose Carlos Garcia Dental Assistant 2636 E Dominguez St, Long Beach, CA 90810 2016-09-23
1881065290 Iliana Yanet Ortiz Dental Assistant 455 E. Columbia St., Suite 32, Long Beach, CA 90806-1620 2015-10-12
1992176465 Pam Davis-washington Dental Assistant 455 E. Columbia Street, Suite 32, Long Beach, CA 90806-1620 2015-10-09
1578954871 Stephanie Chow Dental Assistant 4714 Autry Ave, Long Beach, CA 90808-1115 2015-02-09
1831438241 Rosemary Teresa Romero Dental Assistant 1309 E Eleanor St, Long Beach, CA 90805-1625 2013-02-05
1386887354 Brandon L Kidman Dental Assistant 6447 E. Keynote St., Long Beach, CA 90808 2009-04-07
1760629570 Mary Anne Vargas Dela Cruz Dental Assistant 3565 Linden Ave., 220, Long Beach, CA 90807 2009-01-15
1912144932 Cristina Abad Shelton Dental Assistant 22022 S Embassy Ave, Long Beach, CA 90810-1854 2009-01-13
1134311095 Mandy Ng Dental Assistant 5901 E 7th St Bldg 126a, Long Beach, CA 90822-5201 2007-08-15
Find all providers in LONG BEACH

Competitor

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City LONG BEACH
Zip Code 90815

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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